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Oesophageal Stricture

trauma-list@trauma.org trauma-list@trauma.org
Mon, 16 Jun 2003 21:51:00 EDT 

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In a message dated 6/16/2003 3:32:16 PM Eastern Standard Time, 
dr.pjbarrett@virgin.net writes:

> We have a 16yr old British girl of Pakistani origin in our Intensive Care 
> Unit who drank bleach in order to avoid an arranged marriage in Pakistan 
> (allegedly). She has a tight stricture of her oesophagus from hypopharynx to 
> stomach. Our surgeons have made one attempt to dilate the stricture with a 
> resultant oesophageal tear causing pneumomediastinum, bilateral pleural effusions 
> and left pneumothorax. She currently has bilateral chest drains in situ and 
> clinically is improving after a period of "sepsis" and respiratory distress. 
>  
> Unbelievably, our surgeons plan to repeat dilatation of the stricture when 
> she is more stable. For me, her oesophagus will never be more than a rigid 
> pipe and I feel that we should transfer to our Cardiothoracic centre for 
> resection of the oesophagus and colonic interposition. What are your thoughts on 
> this?
>   
> Peter Barrett
> 

 I think you are correct. This long stricture will not respond long term to 
dilatation

sal Sclafani

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<HTML><FONT FACE=3Darial,helvetica><FONT  SIZE=3D2 FAMILY=3D"SANSSERIF" FACE=
=3D"Arial" LANG=3D"0">In a message dated 6/16/2003 3:32:16 PM Eastern Standa=
rd Time, dr.pjbarrett@virgin.net writes:<BR>
<BR>
<BLOCKQUOTE TYPE=3DCITE style=3D"BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT=
: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px">We have a 16yr old British girl=
 of Pakistani origin in our Intensive Care Unit who drank bleach in order to=
 avoid an arranged marriage in Pakistan (allegedly). She has a tight strictu=
re of her oesophagus from hypopharynx to stomach. Our surgeons have made one=
 attempt to dilate the stricture with a resultant oesophageal tear causing p=
neumomediastinum, bilateral pleural effusions and left pneumothorax. She cur=
rently has bilateral chest drains in situ and clinically is improving after=20=
a period of "sepsis" and respiratory distress. </FONT><FONT  COLOR=3D"#00000=
0" style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D3 FAMILY=3D"SANSSERIF" FACE=
=3D"Arial" LANG=3D"0"><BR>
 <BR>
</FONT><FONT  COLOR=3D"#000000" style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D2=
 FAMILY=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0">Unbelievably, our surgeons p=
lan to repeat dilatation of the stricture when she is more stable. For me, h=
er oesophagus will never be more than a rigid pipe and I feel that we should=
 transfer to our Cardiothoracic centre for resection of the oesophagus and c=
olonic interposition. What are your thoughts on this?</FONT><FONT  COLOR=3D"=
#000000" style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D3 FAMILY=3D"SANSSERIF" F=
ACE=3D"Arial" LANG=3D"0"><BR>
&nbsp; <BR>
</FONT><FONT  COLOR=3D"#000000" style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D2=
 FAMILY=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0">Peter Barrett</FONT><FONT  C=
OLOR=3D"#000000" style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D3 FAMILY=3D"SANS=
SERIF" FACE=3D"Arial" LANG=3D"0"><BR>
</BLOCKQUOTE><BR>
</FONT><FONT  COLOR=3D"#000000" style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D2=
 FAMILY=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0"><BR>
 I think you are correct. This long stricture will not respond long term to=20=
dilatation<BR>
<BR>
sal Sclafani</FONT></HTML>

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